Carmalita Baca

Individual provider Active NPI Mental Health Counselor · La Junta, CO

NPI 1114400017 · NPPES record last updated Sep 7, 2018

Key facts

NPI
1114400017
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
711 Barnes Ave
La Junta, CO 81050-2138
Phone
(800) 511-5446
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

711 Barnes Ave
La Junta, CO 81050-2138

Mailing address

711 Barnes Ave
La Junta, CO 81050-2138
Phone (800) 511-5446

Other providers in La Junta, CO

All providers in La Junta, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.